medical-legal

Sedgwick Violates LACoFD Employer Contract, IBR Drops Ball
Jul 15, 2021
Sedgwick Violates LACoFD Employer Contract, IBR Drops Ball
A physician agreed to serve as Independent Medical Examiner (IME) for the Labor Management Committee (LMC) representing the Los Angeles County Fire Department (LACoFD) and Lo...
ML106: Liberty Mutual Must Learn the Rules
Jul 9, 2021
ML106: Liberty Mutual Must Learn the Rules
California’s all-new Medical-Legal Fee Schedule (MLFS) debuted back in April, but some claims administrators are still a few steps behind. To bill for supplemental Med...
Med-Legal Bill Denied for Liability? Request IBR
Jun 29, 2021
Med-Legal Bill Denied for Liability? Request IBR
Certain California workers’ comp payers deny reimbursement for Medical-Legal evaluations by claiming lack of liability for the initial injury. With this twisted, circular log...
Sedgwick Defies DWC COVID Rules; DWC Washes Hands
Jun 4, 2021
Sedgwick Defies DWC COVID Rules; DWC Washes Hands
Sedgwick defied California workers’ comp regulations, costing a provider thousands in due reimbursement. Unfortunately, the Division of Workers’ Compensation (DWC) has declin...
Download: Med-Legal Graphic Workflow (With Modifiers)
May 13, 2021
Download: Med-Legal Graphic Workflow (With Modifiers)
Effective April 1, 2021, the Division of Workers’ Compensation adopted an all-new Medical-Legal Fee Schedule, complete with new billing codes and modifiers. Like many things ...
CNA Repeatedly Ignores California Law
May 12, 2021
CNA Repeatedly Ignores California Law
By law, claims administrators must remit payment for Medical-Legal services within 60 days of receiving the physician’s bill. As of this writing, payment to one physician fro...
Introducing: CA Med-Legal Fee Schedule Report Cards
Apr 29, 2021
Introducing: CA Med-Legal Fee Schedule Report Cards
At DaisyBill, we strive to help providers and their staff navigate the complexities of workers’ comp billing and payment, to ensure proper reimbursement. To that end, we’re d...
2021 CA Med-Legal Billing Codes Pocket Guide
Apr 8, 2021
2021 CA Med-Legal Billing Codes Pocket Guide
California has a new Medical-Legal Fee Schedule (MLFS), effective April 1. To help medical-legal evaluators and their staff navigate these (drastic) changes, we created a dow...
Medical-Legal Cheat Sheet for CA Workers' Comp
Apr 1, 2021
Medical-Legal Cheat Sheet for CA Workers' Comp
It’s official: California workers’ compensation has a new Medical-Legal Fee Schedule (MLFS). The updated MLFS is effective for dates of service on or after April 1, 20...
New CA Med-Legal Fee Schedule Effective April 1
Mar 31, 2021
New CA Med-Legal Fee Schedule Effective April 1
California’s Office of Administrative Law (OAL) issued final approval of the revamped Medical-Legal Fee Schedule (MLFS) for workers’ compensation, effective for dates of serv...
CA: New Med-Legal Fee Schedule Pending
Mar 30, 2021
CA: New Med-Legal Fee Schedule Pending
A reimagined Medical-Legal Fee Schedule is on the way.Following the required public hearing and comment period, California’s Division of Workers’ Compensation (DWC) fi...
IBR Hall of Shame: Employers
Mar 24, 2021
IBR Hall of Shame: Employers
Employers Holdings set a shameful new standard of indifference with regard to promptly and correctly reimbursing providers. The insurer incorrectly denied payment, disregarde...